Significant tenderness in the deep part of the transverse process of the third lumbar vertebra

Introduction The third lumbar vertebrae transversely long deformity tender point is markedly tender in the deep part of the third lumbar transverse process, sometimes radiating to the lateral thigh and knee. In this way, if there is no trauma, there is no lumbar disease, etc., in front of the third lumbar vertebrae, there is a lateral femoral nerve trunk passing through the deep surface and distributed to the outside of the thigh and the knee. If the transverse process is too long, too large, or accompanied by fibrositis, it is easy to cause the nerve branch to suffer and the corresponding symptoms appear. Therefore, it is easy to strain and cause fibrositis around the transverse process. The longer the transverse process, the higher the incidence, which is more common on one side.

Cause

(1) Causes of the disease

Because the third lumbar transverse process is too long, the strain causes fibrosis around the transverse process and causes disease.

(two) pathogenesis

The third lumbar vertebrae, located in the middle of the 5 lumbar vertebrae, are normally longer than the other 4 nodes, so that the muscles and ligaments attached thereto can effectively maintain the stability and normal movement of the spine; When the contraction is pulled, the lever force will be significantly enhanced. Since the effect of the transverse process is stronger than that of other vertebrae, it is easy to strain and cause fibrositis around the transverse process. The longer the transverse process, the higher the incidence, which is more common on one side.

In front of the third lumbar vertebrae, the lateral cutaneous nerve trunks pass through the deep surface and are distributed to the outside of the thighs and the knees. If the transverse process is too long, too large, or accompanied by fibrositis, it is easy to cause the nerve branch to suffer and the corresponding symptoms appear.

an examination

Related inspection

X-ray examination of mammography

1. tenderness point: that is, there is obvious tenderness in the deep part of the third lumbar vertebrae, and sometimes it can be radiated to the outside of the thigh and the knee.

2. Bony prominence: that is, the third lumbar vertebrae is longer than the general, and is superficial and easy to reach.

3. Limited waist activity: The symptoms are mild, mainly when the waist is bent to the opposite side.

4. Closure test: 10% 20% of procaine was blocked around the transverse process of the third lumbar vertebrae, which was effective.

According to clinical manifestations and X-ray film can be diagnosed.

Differential diagnosis

The diagnosis should be differentiated from the following symptoms:

1. Lumbar bulging: lumbar disc herniation, also known as lumbar disc herniation or nucleus pulposus, when subjected to twisting and impacting at the waist of labor or sports activities, excessive weight, excessive fatigue, etc. Causes the rupture of the intervertebral disc fibers, and the nucleus pulposus tissue escapes from the rupture port, stimulating or compressing the spinal nerve roots and causing pain in the lower back and leg.

2. Lumbar degeneration: The lumbar vertebrae consist of five vertebral bodies, and the nerve holes located behind the vertebral body extend out five pairs of lumbar sacral nerves. These phrenic nerves, together with the lower sacral nerves, form the human body. The largest peripheral nerve - the sciatic nerve. When the spurs proliferate with age, they are pressed into the nerve holes, causing annoying symptoms such as back pain and sciatica.

3. Thoracic and lumbar spine injuries: Thoracic and lumbar spine injuries are mainly damage to the tissue structure of the bones, ligaments and intervertebral discs and the resulting damage to the spinal nerve tissue.

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